Ben

Your anxiety seems to be high and you are not able to let go of these thoughts. I have seen this with my son as I mentioned on other threads he did CBT and he was still unable to control his anxiety. This cleared up sometime into his hormone treatment as I mentioned in my posts.

I disagree with Mark and Idaho. Hormone disruption is COMMON in concussion cases. Doctors dont test for it so people dont know they have it so we dont hear about it ! Here's yet another article pointing to how prevalent it is from 2014!
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Head Cases: Pituitary Incidents Arising from Traumatic Brain Injury - Endocrine News

At 7 to 8 months post injury, the rate of pituitary dysfunction is very low. 5% to 27% depending on the study. The study also includes mild, moderate and severe TBI. Only 16% of mild TBI were tested with hypopituitarism in the one popular study. The prevalence in severe TBI was double that.

You also miss the point that the numbers for hypopituitarism consist of HGH, T and some others. The studies do no accurately differentiate between T and HGH. They do suggest that HGH should not be considered until a year post injury. Besides, HGH is expensive and often a lifelong therapy.

MrPCS,

I think it's important to remember that it's not always apples to apples. What were the cause of issues for someone, isn't necessarily the cause for another person.

Take a look at Mark In Idaho's posts, he rarely uses absolute language, as there is no one cure for everyones' symptoms. It took me some time to grasp this concept.

Certainly, at this point it is worth Ben getting his hormone levels checked out. For a different point of view however, I have PCS symptoms, including increased anxiety, but have normal hormone levels.

Tom

i agree with you its not always the cause. As Ive stated in my posts its common but no where near 100% . The link I posted indicates this. Stating its rare is incorrect and may cause people to dismiss it and not get checked. This is my concern only. No disrespect to Mark. He clearly is helping a lot of people with his posts.


I am a proponent of testing for the condition. Thats what my posts are about. Im not stating people definitely have the condition.

Just to add, as ive indicated in another post "normal" testosterone range (if you're male) is a composite of adolescent boys to old men. You can be normal or in range as a young man at the low end of the scale but its likely you will not feel well and have symptoms. This is where part of the problem lies also in identification of the issue.

Haha no I definitely don't do that. Although didn't you once say that a bumpy bus ride is worse than playing football?

Yes thank you, I sometimes have moments where I realize how ridiculous I'm being, like a moment of enlightenment. Guess I should remember those and hold on to them

Thanks Marc, I had never thought about making a list of every day impacts that I should worry about, I'll bring it up with her next session. I usually just use the "if I wouldn't worry about it before, there's no reason to worry about it now" method.

I am not suggesting the subway/car rides contribute to cte I was saying that when I worry about that, it's cause I'm thinking back to when I used to play high level hockey and basketball or impacts I had as a kid that would potentially cause it. Back then I was completely uneducated on concussions, I thought it was just a thing where maybe you'd have a headache or feel sick for a few days but then you'd go back to normal with no long term effects or the people who did have lasting problems were boxers and stuff. I do know though that it's useless to worry about since even if I did have it I'd most likely only have symptoms in a decade or so.

Hey mark so I had an appointment with a doctor today and I asked about hormones. She said that I could get checked if I wanted but that she "never prescribes hormones for concussion" so she would most likely not perscribe me anything even if I had an imbalance. Does this mean she believes that my hormones may correct themselves naturally?

What this means is she will not treat it. Even if she see a problem. Just like our doctor did with us.

You will need to see an endocrinologist if you want to treat it. ask for a referral if there is an imbalance. you are asking for treatment of the imbalance not for treatment of the concussion.

For the most part, family doctors are not comfortable treating any hormone issues. I suspect she would be fine with giving you an antidepressant or anti-anxiety medication however.

I never said a bumpy ride could be worse than football. I may have said to not rest your head against the door frame during a bumpy ride. I also say to roll your shoulders forward during a bumpy ride so you absorb the bumps better.

You need to check yourself when you think you found a reason to worry. You read the worst in a statement or read the opposite of the statement.

[Thanks Marc, I had never thought about making a list of every day impacts that I should worry about, I'll bring it up with her next session. ]

I hope this was a typo. I said make a list of the things you should not worry about. Work on those with your CBT therapist. You also need to work on how to accept the facts of life rather than try to manipulate them to fit your emotions.

[I usually just use the "if I wouldn't worry about it before, there's no reason to worry about it now" method.] Did you worry about kissing before your concussion? I doubt it. You have always said just the opposite.

The fact your doctor said she would not prescribe hormones even if you had low levels suggests she is ignorant or unwilling to learn. Maybe she sees you as a cyberchondriac and does not want to encourage that behavior. Or both.

Most hormones will correct themselves naturally but if your are off at 7 months post concussion, that natural correction is slow to happen or not happening. But, as I said, I doubt yours are off. But, it would check off a box for you to not worry about.

From how you are responding to these issues, I predict you will need the help of medication. Others have been in the same position and after 6 months to a year of OCS/anxiety meds like an SSRI or SNRI, they were able to get their thoughts under control and get off the meds.

Or, somebody like a naturopath or osteopath could help you try the vitamins regimen, 5-HTP, maybe L-Theanine and other supplements and see if that helps. It is much easier than a strong medication.